Monday, August 11, 2014

Week 5: Cologne Zoo, Berlin, Charite Learning Center

After returning from our last free weekend we had our final week in Bonn. Tuesday we returned to Cologne for our guided tour through the Zoo. Our guides were two zoo employees, one of which has done extensive training with elephants and monkeys. They look us through the zoo making stops by animals that were of particular interest for us as pre-med and pre-vet students. Even though I have been to plenty of zoos before, this one was different. They have some unusual animals that we would not see at a zoo in the USA, like raccoons and a large variety of birds. Also, we got to learn about behind the scenes information on how to maintain a healthy and safe environment for the animals. The guide could give more detailed and sensitive information with us about the animals lifestyles than she could not with the average group that would come to the zoo. One example is of the hierarchy with in the animal groups. When a new male enters the group and becomes the alpha it is natural for them to hurt or even kill the babies of other males to establish their dominance. This is a natural process that might make most people outraged that the zoo did not stop the animals from hurting each other. However, they do not interfere because it is important to make the habitat as much like being in the wild as possible. One of the lasting memories I will always remember is when we entered the area with the Bonobo Aps. The zoo keepers warned us that they may get a little rowdy because they used to train and be in close contact with two of the older aps in the habitat. They had been working there when two of the aps, Bonnie and Clyde, entered the zoo and bottle fed them back when there were not as many stringent rules about animal and zookeeper contact. Still to this day, both aps recognized our guides and even blew kisses to one of them while holding her hand on the glass where they were standing outside the enclosure. It was touching and very shocking to see how easily they recognized them after all these years. The best part came when we got to the new elephant house they recently built. We met the director zoo keeper of the elephant house and saw where their ‘command center' was. From here they can watch both indoor and outdoor areas of the elephant habitat. I have never seen so many elephants in one zoo before! They said they usually have 12 to 14 elephants there at a time but the facility was designed to hold more. The problem comes when you consider the holding areas they use to interact with the elephants. The zookeeper took us in and around the indoor area of the elephant house while the elephants were outside during the day. He showed us the holding area where they can clean the elephants, have the vet examine them or give them shots. All of their interaction with the animals is protected contact unlike in years previous to now. We were all allowed to feed the elephants small slices of bread through the bars dividing the indoor and outdoor areas. Once one came over it wasn’t long before they were all there waiting to be fed. I held out my hand and the baby elephant grasped the bread with its trunk and then put it in its mouth. Even the baby’s trunk was unbelievably strong. You can feel the sheer muscle power and it was amazing.

Berlin! All of us were anticipating the fast paced and enormously historical city of Berlin to end our trip. I could consider New York to be most similar to Berlin in the sense that it is very big, very diverse and the general attitude there is radically different. As we experienced within an hour of being in Berlin, the locals can be harsh without meaning to be. Dr. Wasser explained it as a “Berlin Schnauze”. As we were all trying to enter the regional train to our hotel we were having troubles fitting and an older man was getting mad at us for holding up the train and shouting criticisms in German.
Our first activity was to tour the city on bikes with our enthusiastic guide from Wales. He got a good feel for the city and introduction to the museums and historical sites representing the rich history there. The history there is simply unparalleled. We visited Hitler’s bunker where we lived for the last several months of his life and where he and his new wife committed suicide shortly after the Soviet Invasion. We also stopped by the Berlin Wall and Checkpoint Charlie.
The following day we visited the Sachsenhausen Concentration Camp. The trip was both extremely interesting and educational but I also felt like I couldn’t leave that place without feeling like it took an emotional toll as well, learning about the unspeakable terrors and genocide that took place there. Never the less, I firmly believe that everyone should learn about this so as to ensure such things are never repeated. Rather than bury the past and pretend that these evil things never happened we must remember and reflect on these historical events.
Our final day on the program we went to the Charite Learning Center. We had two medical students tell us more about medical schools in Berlin and Germany overall. They provided a small taste of what their learning center is like for the students. It was created so that students of the original class-based medical curriculum could learn practical skills they will be expected to know when they enter the medical field as doctors. We got to use their dummies to learn how to do intubation and suturing. They also provided a dummy that resembles certain cardiac and pulmonary disorder to test the students. They students were very nice and talkative and happy to help us get a taste of what their learning tutorials are like.

Lastly, we had our guided tour of the Charite Museum, our last lecture on Virchow and our oral exams. It was a wonderful way to end the program and exemplified all we have come to learn and appreciate about medicine in this global perspective.  

Although my travels in Germany have come to an end, I have been traveling around Greece since the conclusion of the program with my family and my international experieces will continue in Italy and France before I return home to Texas. 

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